Individual
LAVETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 LOBLOLLY PINE DR APT R, GASTONIA, NC 28054-5683
(704) 605-3447
Mailing address
2505 LOBLOLLY PINE DR APT R, GASTONIA, NC 28054-5683
(704) 605-3447
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
379982
NC
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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